1. What is the definition of disability used by Social Security?
Under the Social Security Act, "disability" means "inability to engage in any
substantial gainful activity by reason of any medically determinable physical
or mental impairment which can be expected to result in death or has lasted or
can be expected to last for a continuous period of not less than 12 months."
2. How many different types of Social Security disability benefits are there?
There are at least five major types of Social Security disability benefits.
Disability Insurance Benefits is the most important type of Social Security
disability benefits. It goes to individuals who have worked in recent years
(five out of the last 10 years in most cases) who are now disabled. Disabled
Widow's and Widower's Benefits are paid to individuals who are at least 50 and
become disabled within a certain amount of time after the death of their
husband or wife. The late husband or wife must have worked enough under Social
Security to be insured. Disabled Adult Child Benefits go to the children of
persons who are deceased or who are drawing Social Security disability or
retirement benefits. The child must have become disabled before age 22. For
Disability Insurance Benefits, Disabled Widow's or Widower's Benefits and
Disabled Adult Child benefits, it does not matter whether the disabled
individual is rich or poor. Benefits are paid based upon a Social Security
earnings record. Supplemental Security Income benefits, however, are paid to
individuals who are poor and who are disabled. It does not matter for SSI
whether an individual has worked in the past or not. SSI child's disability
benefits are a variety of SSI benefits paid to children under the age of 18
who are disabled. The way in which disability is determined is a bit different
for children.
3. How do I apply for Social Security disability benefits?
The best, surest way to file a Social Security disability claim is to go to
the nearest Social Security office in person and wait (often for a few hours)
to see someone to file the claim in person. In the alternative, a person may
contact Social Security by telephone and arrange for a telephone interview to
file the claim.
4. I am disabled, but I have plenty of money in the bank. Do I have to wait
until this money is gone before I apply for Social Security disability
benefits?
No. If you have worked in recent years or if you are applying for Disabled
Widow's or Widower's benefits or Disabled Adult Child benefits, it does not
matter how much money you have in the bank. There is no reason to wait to file
the claim.
5. I used to work but lately I have been staying home taking care of the kids.
I have now become sick. Can I get Social Security
disability benefits?
Possibly. If you have worked five out of the 10 years under Social Security
before becoming disabled, you will have enough earnings in to potentially
qualify for Social Security disability benefits. For individuals 31 or less,
the requirements are a little different, since such individuals have not had
such a long time to work. Unless a person has been staying home and taking
care of their children for quite a long time, however, it is very possible
that they will qualify for Social Security disability benefits based upon
their own earnings. Also a homemaker, if poor enough, can qualify for
Supplemental Security Income (SSI) whether he or she has worked in the past or
not.
6. How long do I have to wait after becoming disabled before I can file for
Social Security disability benefits?
Not even one day. You can file for Social Security disability benefits on the
very same day that you become disabled. Many individuals make the mistake of
waiting months and even years after becoming disabled before filing a Social
Security disability claim. There is no reason to file a Social Security
disability claim if one has only a minor illness or one which is unlikely to
last a year or more. However, an individual who suffers serious illness or
injury and expects to be out of work for a year or more should not delay in
filing a claim for Social Security disability benefits.
7. I am still on sick leave from my employer. Can I file for Social Security
disability now or do I have to wait until the sick leave is exhausted?
No, you do not have to wait until the sick leave is exhausted. You should file
for Social Security disability benefits now, if you believe that you will be
out of work for a year or more.
8. I got hurt on the job. I am drawing worker's compensation benefits. Can I
file a claim for Social Security disability benefits now or should I wait
until the worker's compensation ends?
You do not have to wait until the worker's compensation ends and you should
not wait that long. An individual can file a claim for Social Security
disability benefits while receiving worker's compensation benefits. It is best
to file the Social Security disability claim as soon as possible because
otherwise there may be a gap between the time the worker's compensation ends
and the Social Security disability benefits begin.
9. Can I get both worker's compensation and Social Security disability
benefits?
Yes. There is an offset, which reduces Social Security disability benefits
because of worker's compensation benefits paid, but in virtually all cases,
there is still some Social Security disability benefits to be paid. In a few
states the offset works the other way - - worker's compensation benefits are
reduced because of Social Security disability benefits.
10. How can I tell if I will be found disabled by Social Security?
Unless your disability is catastrophic (such as terminal cancer, a heart
condition so bad that you are on a heart transplant waiting list, total
paralysis of both legs, etc.), there is no easy way for you to tell whether
you will be found disabled by Social Security. In the end, the decision of
whether or not to apply for Social Security disability benefits should not be
based upon whether or not the person feels that Social Security will find them
disabled. Attorneys familiar with Social Security disability can make
predictions about who will win and who will lose, but even they can seldom be
sure. An individual should make the decision about whether or not to file for
Social Security disability based upon their own belief about their condition.
If the individual feels that he or she is disabled and is not going to be able
to return to work in the near future, the individual should file for Social
Security disability benefits. If denied, the individual should consult with an
attorney familiar with Social Security disability to get an opinion as to the
chances of success on appeal.
11. Can you receive Social Security disability benefits for _________________
(insert the name of whatever disease you are
interested in)?
In almost every case, no matter what the disease is, the answer is the same -
"Maybe, it just depends upon how badly you are affected by the disease." One
example might be cancer. The word "cancer" is scary to anyone, but there are
many cancers which can be treated and cured very quickly, with little or no
lasting effect. On the other hand, of course, there are cancers which cause
great suffering and ultimately death. The question in each individual case is
"How sick is this particular individual with cancer and how long is this
person going to remain sick?" Skin diseases are another example. The vast
majority of skin diseases, while annoying, would not be considered to be
disabling. On the other hand, there are some uncommon, very severe skin
problems which are clearly disabling. In extreme cases, psoriasis, which is
not rare, may be disabling. Thus, almost without exception, the mere fact that
an individual has a disease with a certain name does not guarantee that the
individual either will or will not be found disabled. It all depends upon how
sick the person is.
12. Do you have to be permanently disabled to get Social Security disability
benefits?
No. You have to have been disabled for at least a year or be expected to be
disabled for at least a year or have a condition that can be expected to
result in death within a year.
13. I have several health problems, but no one of them disables me. It is the
combination that disables me. Can I get Social Security disability benefits?
Social Security is supposed to consider the combination of impairments that an
individual suffers in determining disability. Many, perhaps most claimants for
Social Security disability benefits have more than one health problem and the
combined effects of all of the health problems must be considered.
14. I got hurt in an automobile accident. I am disabled now, but I expect that
I will be able to return to work after I recover.
Should I file for Social
Security disability benefits?
If you expect to be out of work for a year or more on account of illness or
injury, you should file for Social Security disability benefits.
15. How does Social Security determine if I am disabled?
Social Security is supposed to gather your medical records and carefully
consider all of your health problems, as well as your age, education, and work
experience. In general, Social Security is supposed to decide whether you are
able to do your past work. If Social Security decides that you are unable to
do your past work, they are supposed to consider whether there is any other
work which you can do considering your health problems and your age,
education, and work experience.
16. Who decides if I am disabled?
After an individual files a Social Security disability claim, the case is sent
to a disability examiner at the Disability Determination agency in your state.
This individual, working with a doctor, makes the initial decision on the
claim. If the claim is denied and the individual requests reconsideration, the
case is then sent to another disability examiner at the Disability
Determination agency, where it goes through much the same process. If a claim
is denied at reconsideration, the claimant may then request a hearing. At this
point, the case is sent to an Administrative Law Judge who works for Social
Security. The Administrative Law Judge makes an independent decision upon the
claim. This is the only level at which the claimant and the decision maker get
to see each other.
17. Why does Social Security consider my age in determining whether I am
disabled?
Social Security has to consider age, because that is what the Social Security
Act requires. As people get older, they become less adaptable, less able to
switch to different jobs to cope with health problems. A severe foot injury
which might cause a 30- year- old to switch to a job in which he or she can
sit down most of the time, might disable a 60- year- old person who could not
make the adjustment to a different type of work.
18. Is there a list of illnesses that Social Security considers disabling?
Not really. Because most types of illness can vary from minor to severe, there
is no one simple list of illnesses which Social Security considers to be
disabling. However, if an illness has reached a very severe level with certain
medical hallmarks, Social Security will award benefits on the basis of medical
considerations alone.
19. What can I do to improve my chances of winning my Social Security
disability claim?
Be honest and complete in giving information to Social Security about what is
disabling you. Many claimants, for instance, fail to mention their psychiatric
problems to Social Security because they are embarrassed about them. In almost
all cases, individuals who were slow learners in school fail to mention this
fact to Social Security, even though it can have a good deal to do with
whether or not the Social Security disability claim is approved. Beyond being
honest and complete with Social Security, the most important thing that you
can do is just keep appealing and hire an experienced person to represent you.
It is important to appeal because most claims are denied at the initial level,
but are approved at higher levels of review. It is important to hire an
experienced person to represent you because you do not understand the way
Social Security works. Statistically, claimants who employ an attorney to
represent them are much more likely to win than those who go unrepresented.
20. How do I find an attorney to represent me before on my Social Security
disability claim?
The National Organization of Social Security Claimants' Representatives
(NOSSCR) offers a referral service. You may call NOSSCR at 1-800-431-2804
during regular Eastern Time business hours. |